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dc.contributor.authorBattaglia, Tracy A.
dc.contributor.authorSantana, M. Christina
dc.contributor.authorBak, Sharon
dc.contributor.authorGokhale, Manjusha
dc.contributor.authorLash, Timothy L.
dc.contributor.authorAsh, Arlene S.
dc.contributor.authorKalish, Richard
dc.contributor.authorTringale, Stephen
dc.contributor.authorTaylor, James O.
dc.contributor.authorFreund, Karen M.
dc.date2022-08-11T08:10:42.000
dc.date.accessioned2022-08-23T17:17:23Z
dc.date.available2022-08-23T17:17:23Z
dc.date.issued2010-01-07
dc.date.submitted2010-07-01
dc.identifier.citationCancer. 2010 Feb 15;116(4):913-21. <a href="http://dx.doi.org/10.1002/cncr.24851">Link to article on publisher's site</a>
dc.identifier.issn0008-543X (Linking)
dc.identifier.doi10.1002/cncr.24851
dc.identifier.pmid20052731
dc.identifier.urihttp://hdl.handle.net/20.500.14038/47616
dc.description.abstractBACKGROUND: We sought to measure time and identify predictors of timely follow-up among a cohort of racially/ethnically diverse inner city women with breast and cervical cancer screening abnormalities. METHODS: Eligible women had an abnormality detected on a mammogram or Papanicolaou (Pap) test between January 2004 and December 2005 in 1 of 6 community health centers in Boston, Massachusetts. Retrospective chart review allowed us to measure time to diagnostic resolution. We used Cox proportional hazards models to develop predictive models for timely resolution (defined as definitive diagnostic services completed within 180 days from index abnormality). RESULTS: Among 523 women with mammography abnormalities and 474 women with Pap test abnormalities, >90% achieved diagnostic resolution within 12 months. Median time to resolution was longer for Pap test than for mammography abnormalities (85 vs 27 days). Site of care, rather than any sociodemographic characteristic of individuals, including race/ethnicity, was the only significant predictor of timely follow-up for both mammogram and Pap test abnormalities. CONCLUSIONS: Site-specific community-based interventions may be the most effective interventions to reduce cancer health disparities when addressing the needs of underserved populations.
dc.language.isoen_US
dc.relation<a href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=pubmed&cmd=Retrieve&list_uids=20052731&dopt=Abstract">Link to Article in PubMed</a>
dc.relation.urlhttp://dx.doi.org/10.1002/cncr.24851
dc.subjectAdolescent
dc.subjectAdult
dc.subjectAged
dc.subjectBreast Neoplasms
dc.subjectCommunity Health Centers
dc.subject*Continuity of Patient Care
dc.subject*Early Detection of Cancer
dc.subjectEthnic Groups
dc.subjectFemale
dc.subjectHealth Behavior
dc.subjectHealthcare Disparities
dc.subjectHumans
dc.subjectMammography
dc.subjectMassachusetts
dc.subjectMiddle Aged
dc.subjectSocioeconomic Factors
dc.subjectUrban Population
dc.subjectUterine Cervical Neoplasms
dc.subjectVaginal Smears
dc.subjectYoung Adult
dc.subjectBiostatistics
dc.subjectEpidemiology
dc.subjectHealth Services Research
dc.titlePredictors of timely follow-up after abnormal cancer screening among women seeking care at urban community health centers
dc.typeJournal Article
dc.source.journaltitleCancer
dc.source.volume116
dc.source.issue4
dc.identifier.legacycoverpagehttps://escholarship.umassmed.edu/qhs_pp/743
dc.identifier.contextkey1378891
html.description.abstract<p>BACKGROUND: We sought to measure time and identify predictors of timely follow-up among a cohort of racially/ethnically diverse inner city women with breast and cervical cancer screening abnormalities.</p> <p>METHODS: Eligible women had an abnormality detected on a mammogram or Papanicolaou (Pap) test between January 2004 and December 2005 in 1 of 6 community health centers in Boston, Massachusetts. Retrospective chart review allowed us to measure time to diagnostic resolution. We used Cox proportional hazards models to develop predictive models for timely resolution (defined as definitive diagnostic services completed within 180 days from index abnormality).</p> <p>RESULTS: Among 523 women with mammography abnormalities and 474 women with Pap test abnormalities, >90% achieved diagnostic resolution within 12 months. Median time to resolution was longer for Pap test than for mammography abnormalities (85 vs 27 days). Site of care, rather than any sociodemographic characteristic of individuals, including race/ethnicity, was the only significant predictor of timely follow-up for both mammogram and Pap test abnormalities.</p> <p>CONCLUSIONS: Site-specific community-based interventions may be the most effective interventions to reduce cancer health disparities when addressing the needs of underserved populations.</p>
dc.identifier.submissionpathqhs_pp/743
dc.contributor.departmentDepartment of Quantitative Health Sciences
dc.source.pages913-21


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